prelim Flashcards
Public Health was defined by ____ as the science and art of preventing disease, prolonging life and
promoting health and efficiency through organized community measures such as control of infection,
sanitation, health education, health services and legislation, etc.
Winslow (1851)
the science and art of preventing disease, prolonging life and
promoting health and efficiency through organized community measures such as control of infection,
sanitation, health education, health services and legislation, etc.
Public Health
what is public health
the science and art of preventing disease, prolonging life and
promoting health and efficiency through organized community measures such as control of infection,
sanitation, health education, health services and legislation, etc.
a theoretician and leader of American public health during the first half of the 20th
century
Winslow
what is public health according to winslow
“The science and art of preventing disease, prolonging life, and promoting physical health and
efficiency through organized community efforts for the sanitation of the environment, the control of
community infections, the education of the individual in principles of personal hygiene, the
organization of medical and nursing services for the early diagnosis and preventive treatment of
disease, and the development of the social machinery which will ensure the every individual in the
community a standard of living adequate for the maintenance of health.”
“The science and art of preventing disease, prolonging life, and promoting physical health and
efficiency through organized community efforts for the sanitation of the environment, the control of
community infections, the education of the individual in principles of personal hygiene, the
organization of medical and nursing services for the early diagnosis and preventive treatment of
disease, and the development of the social machinery which will ensure the every individual in the
community a standard of living adequate for the maintenance of health.”
public health
focuses on health issues in populations. Carrying out the mission of the public and achieving its
goals therefore depend on the factors that change the size and characteristics of the population whose health
is at stake.
Public Health
Principles and Concept of Public Health
Community Action in the promotion of health and the prevention and treatment of disease is the basis of
public health and its early roots.
Public Health History is the story of a man’s attempt to protect himself and his fellows against the health
hazards of communal living.
Public Health is the organized effort by society to protect, promote and restore the health of its citizens.
Public Health activities emphasize the prevention of disease and disability and concentrate on the health and
well-being of groups of people.
The Goal of Public Health:
- To reduce discomfort, disability and disease in society
- To promote the quality of life
- Attaining the highest level of physical, mental and social well-being utilizing available knowledge and
resources.
Emphasis of Public Health:
- Prevention of disease and disability
- Concentrate on health and well-being of groups of people
- Sanitation of the environment
- Control of communicable infections
- Education of the individual in personal hygiene
- Organization of medical and nursing services for the early diagnosis and preventive treatment of disease.
- Development of the social machinery to insure everyone of a standard of living adequate for the
maintenance of health.
Public Health Optometry has been defined as
“the use of the full scope of optometric knowledge, skills, and
services to prevent disease, to prolong life, and to promote health and the efficiency of groups of people,
particularly at the community level.”
The 10 Essential Public Health Services
- Monitor health status to identify community health problems.
- Diagnose and investigate health problems and health hazards in the community.
- Inform, educate, and empower people about health issues.
- Mobilize community partnerships to identify and solve health problems.
- Develop policies and plans that support individual and community health efforts.
- Enforce laws and regulations that protect health and ensure safety.
- Link people to needed personal health services and assure the provision of health care otherwise
unavailable. - Assure a competent public health and personal healthcare workforce.
- Evaluate effectiveness, accessibility, and quality of personal and population-based health
services. - Research for new insights and innovative solutions to health problems.
The 10 Essential Public Health Services
Assessment:
- Monitor health status to identify community health problems.
- Diagnose and investigate health problems and health hazards in the community.
The 10 Essential Public Health Services
Policy Development:
- Inform, educate, and empower people about health issues.
- Mobilize community partnerships to identify and solve health problems.
- Develop policies and plans that support individual and community health efforts.
The 10 Essential Public Health Services
Assurance:
- Enforce laws and regulations that protect health and ensure safety.
- Link people to needed personal health services and assure the provision of health care otherwise
unavailable. - Assure a competent public health and personal healthcare workforce.
- Evaluate effectiveness, accessibility, and quality of personal and population-based health
services.
The 10 Essential Public Health Services
Serving All Functions:
- Research for new insights and innovative solutions to health problems.
under PREHISTORIC, GREEK & ROMAN WORLDS
Ancient Mesopotamia
Minoans(3000 – 1430 B.C.) and Myceneans (1430 – 1150 B.C.)
Athenian Civilization of 1000 – 400 B.C.
Romans
Hebrews
rituals and incantations against pestilence, voodoo or tribal dancing, temporary banishment, or
smoke and noise to drive away the evil spirits of disease.
Ancient Mesopotamia
built drainage systems, water closets, and water flushing systems.
Minoans (3000 – 1430 B.C.) and Myceneans (1430 – 1150 B.C.)
well-developed personal hygiene practices that sometimes resulted in the ill and crippled populations being ignored or destroyed.
Athenian Civilization of 1000 – 400 B.C.
Romans had:
- Periodic census counts
- Elimination of dangerous animals and foul smells
- Provision of public sanitary services
- Garbage removal
- Public water supply
- Sewerage systems
dealt with a wide variety of community responsibilities in Leviticus, about 1500 B.C.
Hebrews
hebrews time
- Cleanliness of the body
- Protection against the spread of contagious
disease - Isolation of lepers
- Disinfection of dwellings after illness
- Sanitation of campsites
- Disposal of excreta and refuse
- Protection of water and food supplies
- Hygiene of Maternity
People not bathing, using perfume instead, and wearing dirty garments.
MIDDLE AGES A.D. 500 – 1500
Mecca from Asia – Pandemics of _____and ____ (Black Death) were spread by pilgrims.
cholera
bubonic plague
also known as black death
bubonic plague
during this era, Asia was the endemic center of Cholera.
MIDDLE AGES A.D. 500 – 1500
first Quarantine measure was the rule that travelers from plague areas stop outside the port of Ragusa (now
Dubrovnik) and remain disease free for two months.
1377
dubrovnik used to be
Ragusa
Rapid recovery from the Revolutionary war years lead to large measure of prosperity and expansion.
MERCANTILISM AND COLONIALIZATION A.D. 1500 – 1700s
MERCANTILISM AND COLONIALIZATION A.D. 1500 – 1700s
Egypt to Asia Minor and Europe – spread of Leprosy (acute and disfiguring disease).
16th century (Europe) was the eradication of the endemic diseases.
Rapid recovery from the Revolutionary war years lead to large measure of prosperity and expansion.
America (New York, Philadelphia and Boston) – inadequate sewerage and water provision.
Type of Medicine practiced by 17th century:
- Amalgam of Barbering
- Alchemy with a strong dash of plain luck
Medical practice was relatively primitive and physicians were rare in the colonies from
1670 to 1730.
Early Medical Schools were established in the colonies in the 1760s but were
disorganized by the Revolutionary War.
Philadelphia and New York
_____continued to be the most important mode of producing doctors.
Apprenticeship
1st half of the 19th century – marked progress was made in ___.
surgery
American Medical Association (AMA) was founded in ___.
1847.
“To promote the science and art of medicine and the betterment of public health.”
AMA
To set and enforce standards and ethics of ‘regular’ medical practice and medical _____.
turf
medicine attempted to treat communicable diseases, and public health was concerned with dealing
with major epidemics.
20th Century
5 year old children – died due to summer fluxes, teething, convulsions, and related disorders.
Adults – fevers, fluxes, pleurisies, pneumonias, cancers, syphilis, diphtheria, streptococcal infections, dysentery, typhoid, and others.
Highly Fatal Killer diseases – yellow fever, small pox, diphtheria, and Asiatic cholera.
Lemuel Shattuck – recommended creation of Board of Health, Vital Statistics, Sanitary Improvement, Health
Promotion, and Health Education.
Edwin Chadwick – secretary of Poor Law Board.
Poor Law Act (1834) – was passed; championed and caused Community Health.
1848 – First Public Health was passed; signifies the birth of Public Health.
ENLIGHTENMENT AND EVOLUTION 1790 – 1840
Highly Fatal Killer diseases
yellow fever, small pox, diphtheria, and Asiatic cholera.
Responsible for the early quarantine measures and the first comprehensive sanitary programs.
Highly Fatal Killer diseases
recommended creation of Board of Health, Vital Statistics, Sanitary Improvement, Health Promotion, and Health Education.
Lemuel Shattuck
secretary of Poor Law Board.
Edwin Chadwick
was passed; championed and caused Community Health.
Poor Law Act (1834)
First Public Health was passed; signifies the birth of Public Health.
1848
In 1850, it was generally believed that the cholera agent was inhaled from air.
Sanitation of the physical environment became the focus of public health activities for the next fifty years and more.
Throughout the late 1800s, the health department was more concerned with the quantity of water than with the
quality, although there was a question of pollution by human and industrial wastes as early as 1868.
Europe, Germany and Boston – Vision Screening of school children began.
Yellow Fever (1878) – passage of National Quarantine Act.
Care for Seamen and Armed Forces
INDUSTRIAL AND SANITARY MOVEMENT 1840 – 1890
In _____, it was generally believed that the cholera agent was inhaled from air.
1850
carefully observed cholera patients, recognized that the agent must be in water, food or
carried by the hands.
John Snow
Sanitation of the physical environment became the focus of public health activities for the next fifty years and more.
INDUSTRIAL AND SANITARY MOVEMENT 1840 – 1890
Throughout the late ____, the health department was more concerned with the quantity of water than with the
quality, although there was a question of pollution by human and industrial wastes as early as 1868.
1800s
Vision Screening of school children began.
Europe, Germany and Boston
Yellow Fever (1878) – passage of National Quarantine Act.
INDUSTRIAL AND SANITARY MOVEMENT 1840 – 1890
Care for Seamen and Armed Forces
INDUSTRIAL AND SANITARY MOVEMENT 1840 – 1890
Beginning in the 1800s, was the time of great bacteriologic and immunologic discoveries and development of
techniques for their application.